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TimeGridCare
HCBS & Medicaid waiver

Medicaid EVV, authorizations, and medication records, connected visit by visit.

For HCBS and Medicaid-waiver providers, TimeGrid Care connects electronic visit verification, payer authorizations and unit tracking, and medication administration records, so each billed unit traces back to a verified, documented visit.

Agency console EVV exceptions with visit location check
The challenge

Where waiver programs lose time.

Most of the work isn’t the visit. It’s proving it, matching it to an authorization, and fixing what doesn’t line up.

TodayUnits tracked in a spreadsheet next to the scheduleWithAuthorized units tracked automatically as visits are completed
TodayEVV problems found when a claim comes backWithExceptions flagged the day they happen, with a reason and an audit trail
TodayCorrections with no record of who changed whatWithEvery review, edit, and approval recorded on the visit
TodayCaregivers in areas with no signalWithOffline clock-in that syncs when they reconnect
How TimeGrid Care helps

From the authorization to the export, on one record.

Medicaid EVV

Visit data captured at the point of care.

The caregiver, client, date, start and end time, and location are recorded at clock-in and clock-out, with a photo.

  • GPS + photo at both ends of the visit
  • Works offline
  • Exceptions flagged automatically
GPS + photo at both ends of the visit01
Works offline02
Exceptions flagged automatically03
Authorizations

See units before you run out.

Payer authorizations and unit limits are tracked per client and payer as visits are completed.

  • Units used and remaining per authorization
  • Per client and payer
  • Visible to coordinators while scheduling
Units used and remaining per authorization01
Per client and payer02
Visible to coordinators while scheduling03
Audit trail

Every exception has a record.

Late, missed, and out-of-area visits are flagged for review. Resolutions and approvals are recorded with the visit.

  • Exception queue with reasons
  • Recorded corrections
  • Approved visits ready for billing export
Exception queue with reasons01
Recorded corrections02
Approved visits ready for billing export03
Medication management (eMAR)

Medication records that live with the visit.

For services that include medication support, staff receive dose reminders and record each dose as Given, Refused, or Held in the same app they use for EVV. Missed doses escalate to the office for follow-up.

  • Dose reminders in the caregiver app
  • Given, Refused, or Held recorded per dose, with notes
  • Missed doses escalated to the office
  • Adherence reports and a medication review queue
Dose reminders in the caregiver app01
Given, Refused, or Held recorded per dose, with notes02
Missed doses escalated to the office03
Adherence reports and a medication review queue04
Workflow

From authorization to billing export.

How a waiver service moves through TimeGrid Care.

  1. 01Office

    Authorization

    The client’s payer authorization and units are entered.

  2. 02Office

    Schedule

    Visits are planned against the authorization.

  3. 03Caregiver

    Verify

    EVV at each visit. Anything off is flagged as an exception.

  4. 04Office

    Resolve

    A coordinator reviews each exception and records the reason.

  5. 05Office

    Export

    Approved visits and units are ready for billing export.

What it’s designed to change

Fewer surprises after the visit.

  • Units in view while you scheduleCoordinators can see what’s used and what’s left.
  • Exceptions handled before billingProblems surface the same day, not when a claim is denied.
  • A consistent record for reviewsVisit data, exceptions, and corrections kept together.

Outcomes depend on your agency’s processes and adoption. We don’t publish performance figures we haven’t measured.

Implementation

Bringing your authorizations with you

Our team configures your account, migrates your client, caregiver, and schedule data from supported formats, and trains your staff. Most agencies are live and verifying visits within a week.

How onboarding works →
Security & privacy

Built with HIPAA-related safeguards.

Encryption in transit and at rest, tenant isolation, audit logging, and role-based access with MFA.

FAQ

Questions from HCBS and waiver providers.

More questions? See the full FAQ or contact support.

Does TimeGrid Care meet Medicaid EVV requirements?

TimeGrid Care is built to support Medicaid EVV requirements: it records who provided the service, for whom, when, and where, with GPS and a photo. Requirements and accepted systems vary by state, so confirm your state’s EVV model with us during a demo.

Do you integrate with our state’s EVV aggregator?

Larger and multi-site organizations can ask us about aggregator integration. Availability depends on the state and the aggregator.

Can we track units for more than one payer?

Yes. Authorizations and units are tracked per client and payer.

What happens when a caregiver forgets to clock out?

The visit is flagged as an exception for the office to review, and the correction is recorded with the visit.

Bring your waiver workflow to a demo.

We’ll show EVV, exceptions, and authorization tracking with services like yours.

Founding agencies join at $6 per active caregiver per month, locked for 12 months from go-live.